| Aadisai Medical Group Inc | |
|
5451 La Palma Ave Suite 43 La Palma CA 90623 | |
| (714) 523-0000 | |
| Not Available |
| Full Name | Aadisai Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5451 La Palma Ave, La Palma, California |
| Authorized Official Name and Position | Virendra Desai (PRESIDENT) |
| Authorized Official Contact | 7145230000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aadisai Medical Group Inc 12827 Arroyo Ln Norwalk CA 90650-3302 Ph: () - | Aadisai Medical Group Inc 5451 La Palma Ave Suite 43 La Palma CA 90623 Ph: (714) 523-0000 |
| NPI Number | 1316009764 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 05/29/2018 |
| Medicare PECOS PAC ID | 3971545989 |
|---|---|
| Medicare Enrollment ID | O20050531000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316009764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Virendra M Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962518357 PECOS PAC ID: 7416999420 Enrollment ID: I20050601000556 |
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